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Alaska rates for HCPCS L5331

Hip Disarticulation Canadian Type Molded Socket Endoskeletal System Hip Joint Single Axis Knee Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,803.36 / $5,803.36 / $5,803.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,052.23 / $4,052.23 / $4,052.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,958.13 / $4,052.23 / $4,173.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,797.85 / $1,797.85 / $1,797.85
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,295.97 / $7,002.01 / $9,941.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,797.85 / $1,797.85 / $4,052.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,958.13 / $4,173.80 / $7,015.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,306.31 / $3,306.31 / $6,337.09